ARA-290 dose range

The amounts people commonly use, from the low end to the high end, with syringe units, schedule and half-life. The 7 published studies are one click away.

Human trials Repair Also called cibinetide, pHBSP, pyroglutamate helix B surface peptide

Common use ranges

From user guides and clinic write-ups. No drug label exists, and no study has tested these amounts in people. Trial data and community guides agree on 4 mg once a day for 28 days, with community ranges of 1 to 4 mg. The amounts come from phase 2 trials, not a label.

Half-life
Not on the site yet, being checked
How it is taken
subcutaneous injection
How long people use it
28 days in most trials. The longest human course was 12 weeks.
Mixing used for the units
10 mg vial + 2 mL water. 1 unit on a U-100 insulin syringe = 50 mcg.
Total amount per day, by tier
Starting1 mg / dayTypical4 mg / day
TierEach doseSyringe units10 mg vial + 2 mL waterHow oftenScheduleVial lastsat this tier
Starting [1]1 mg20 units 0.20 mLonce a day1 mg once a day, the lowest trial arm10 days
Typical [2]4 mg80 units 0.80 mLonce a day4 mg once a day for 28 days, the dose that worked best in trials2 days

Good to know

  • Also called cibinetide.
  • An 8 mg daily arm did no better than 4 mg.
  • Trials were in nerve pain from sarcoidosis and in diabetes.
  • Never approved. Development stopped after the drug company shut down.

Sources for these amounts

  1. Starting: BioSpace, cibinetide phase 2b sarcoidosis results · Outliyr, ARA-290 report
  2. Typical: BioSpace, cibinetide phase 2b sarcoidosis results · Outliyr, ARA-290 report

How long people use it: Outliyr, ARA-290 report · BioSpace, cibinetide phase 2b sarcoidosis results

This page shows what labels, clinics and users report, and what studies gave. It is not medical advice and not a recommendation for anyone. Many of these compounds are not approved for human use. Check your own medicines and lab work with a licensed clinician before using anything.

See the science: 7 published studies

Amounts given to people in studies

Lowest1 mg once a day for 28 days (sarcoidosis patients)
Most used4 mg under the skin once a day for 28 days
Highest8 mg once a day for 28 days (sarcoidosis patients)

How it was given: Under the skin, once a day (one early trial used 2 mg IV three times a week)

4 mg was the dose that worked best in the dose-finding trial. Trials were small and short.

Amounts given to animals in studies

Lowest3 µg/kg on 5 days over 10 days (rat)
Most used30 µg/kg, 5 doses 2 days apart then weekly, into the belly (rat)
Highest60 µg/kg on 5 days over 10 days (rat)

Read this first. Human trials used flat mg doses, animal studies used µg per kg. Most trials were run with the company developing it. Studied for nerve damage, not general use.

Every study used for this page

Proof grade: Human trials. Tested in randomized human trials. Amounts are quoted as each study reported them. Where the abstract does not state an amount, the row says so.

StudyWho was studiedAmount given, as reportedRouteHow oftenHow longWhat the authors reported
PMID 23168581Heij et al, Mol Med 2012Human, randomized, 22 sarcoidosis patients with nerve pain (12 active)2 mgIVThree times a week4 weeksNerve symptom score improved vs placebo. No safety concerns
PMID 24136731Dahan et al, Mol Med 2013Human, placebo-controlled, sarcoidosis patients with small nerve fiber lossNot stated in the abstractUnder the skinOnce a day28 daysNerve symptoms improved, more corneal nerve fibers, longer 6-minute walk
PMID 25387363Brines et al, Mol Med 2015Human, phase 2, type 2 diabetes with painful neuropathy4 mgUnder the skinOnce a day28 days, then 1 month follow-upHbA1c and lipids improved, nerve pain score improved
PMID 28475703Culver et al, Invest Ophthalmol Vis Sci 2017Human, randomized phase 2b, 64 sarcoidosis patients1, 4 or 8 mg/dayNOT IN ABSTRACTOnce a day28 days4 mg raised corneal nerve fiber area. 1 mg and 8 mg did not reach significance
PMID 32674280Lois et al, J Clin Med 2020Human, open phase 2, 9 patients with diabetic macular edema4 mg/dayUnder the skinOnce a day12 weeksSafe. No gain in vision or retinal thickness overall
PMID 21873879Swartjes et al, Anesthesiology 2011Rat and mouse, nerve injury pain model (n=8 per group)30 mcg/kgInto the bellyFive doses 2 days apart, then once a weekUp to 15 weeksLong-lasting relief of touch and cold pain. No effect in mice lacking the beta-common receptor
PMID 24529189Swartjes et al, Mol Pain 2014Rat, nerve injury pain model3, 10, 30 and 60 mcg/kgNOT IN ABSTRACTDays 1, 3, 6, 8 and 105 doses, followed 20 weeksDose-dependent pain relief for up to 20 weeks, less spinal mcglia activity

How to read the study numbers

  • One study, one group. Each figure is what one team chose for its own participants or animals.
  • Route matters. An amount given into a vein (IV) is not the same as the same amount under the skin, in the nose or by mouth.
  • Animals are not small people. An animal amount is shown as the study gave it. It is not a human amount.
  • Short studies. Many studies ran days or weeks. They do not show what happens over longer use.

Common questions

What amounts of ARA-290 were used in human studies?

In the studies listed here, people were given from 1 mg once a day for 28 days (sarcoidosis patients) up to 8 mg once a day for 28 days (sarcoidosis patients). The amount used most often was 4 mg under the skin once a day for 28 days. These are what study teams chose for their participants under supervision.

Where do these ARA-290 numbers come from?

From 7 published studies, each linked to its PubMed or ClinicalTrials.gov record. Every figure was checked against the study abstract or its open full text. Proof grade: Human trials.

Is this a recommendation for how much ARA-290 to use?

No. This page shows the amounts reported by drug labels, clinics and users, next to what researchers gave in studies. It is not medical advice and not a recommendation for anyone. Talk to a licensed clinician before using any of it.

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